Lewis H A, Kliewer W
Virginia Commonwealth University, Richmond 23284-2018, USA.
J Pediatr Psychol. 1996 Feb;21(1):25-41. doi: 10.1093/jpepsy/21.1.25.
Tested mediator and moderator models of hope, coping, and adjustment in 39 children with sickle cell disease. In home interviews parents provided information on demographics and functional adjustment. Children self-reported levels of hope, coping strategies, and psychological adjustment. Coping strategies moderated, but did not mediate, the relationship between hope and adjustment. Hope was negatively associated with anxiety when active coping, support coping, and distraction coping was high. Avoidance coping did not moderate the hope-adjustment relationship but was positively related to anxiety. No effects were found for depressive symptoms or for the functional measures of adjustment.
对39名镰状细胞病患儿的希望、应对方式和适应情况的中介模型和调节模型进行了测试。在家庭访谈中，父母提供了人口统计学和功能适应方面的信息。孩子们自我报告了希望水平、应对策略和心理适应情况。应对策略调节了希望与适应之间的关系，但并非中介关系。当积极应对、支持性应对和分散注意力应对水平较高时，希望与焦虑呈负相关。回避应对并未调节希望与适应的关系，但与焦虑呈正相关。未发现对抑郁症状或适应功能指标有影响。
